Determinants of patient's adherence to hypertension medications: application of health belief model among rural patients
Open accessAbstract
BACKGROUND: Hypertension is a major health problem in developing and developed countries, and its increasing epidemy is a serious warning to take more attention to this silent disease. AIM: This study was aimed to determine the factors of adherence to hypertension medication based on health belief model (HBM). SUBJECTS AND METHODS: A cross-sectional study was conducted in a rural area of the Ardabil city in 2013. This study was carried out using a pre-structured and validated questionnaire. The questionnaire included information on demographic characteristics, lifestyle habits, HBM constructs and adherence to hypertension medication (Morisky 4-Item Self-Report Measure of Medication-taking Behavior [Morisky Medication Adherence Scale]). Data were analyzed with the use of SPSS version 18. P < 0.05 was considered as statistically significant. RESULTS: A total of 671 hypertensive patients participated in the study (169 were males and 502 were females). The prevalence of adherence was 24% (161/671)% in the study population. Respondents with regular physical activity and nonsmokers were more adherent to hypertension medication when compared to respondents with sedentary lifestyle and smoking (P < 0.01). Based on HBM constructs, the respondents who perceived high susceptibility, severity, benefit had better adherence compared to moderate and low susceptibility, severity, and benefit. CONCLUSION: The prevalence of adherence to hypertension management was low in study population, this due to inadequate perceived susceptibility, perceived, severity, perceived benefit and poor lifestyle factors. Improving adherence in hypertension patients need to recognize the value and importance of patient perceptions medications.
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Studies of adherence to medications in long-term conditions identified high susceptibility, severity of the condition, strong intentions and high self-efficacy as associated with good adherence, while poor lifestyle habits and low perceived behavioural control were associated with poor adherence.
“Studies that investigated adherence to medications in long-term conditions identified factors such as high susceptibility, severity of the condition, strong intentions and high self-efficacy as being associated with good adherence, while poor lifestyle habits and low perceived behavioural control were associated with poor adherence.468,469”
From 2016 ESC/EAS Guidelines for the Management of Dyslipidaemias (2016) · cites this paper as [469]
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- Authors
- Heydari, H., Kamran, A., Ahari, S., Biria, M., & Malepour, A.
- Affiliations
- Tehran University of Medical Sciences (IR)
- Ardabil University of Medical Sciences (IR)
- Corresponding author
- Heydari, H
- ORCID
- Venue
- Annals of Medical and Health Sciences Research
- Published
- 2014
- Volume
- 4
- Issue
- 6
- Pages
- 922
- ISSN
- 2141-9248 (ISSN-L)
- PMC
- PMC4250992
- OpenAlex
- W1989600336
- Cited by
- 166
- References
- 26
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 11 · 2023: 8 · 2022: 17 · 2021: 17 · 2020: 26 · 2019: 19 · 2018: 17 · 2017: 19 · 2016: 12 · 2015: 5 · 2013: 1
- FWCI
- 12.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- cc-by-nc-sa
- Locations
- Annals of Medical and Health Sciences Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- hypertension, medication adherence, Health Belief Model, rural patients, perceived susceptibility, perceived severity, perceived benefits, physical activity, smoking, lifestyle factors, Morisky Medication Adherence Scale
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